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<div class="square">
    <div>
        <div>
            <form class="form-horizontal">
                <div id="titleForm">
                    <span>Verificar Programa</span>
                </div>
                <div class="control-group">
                     <label class="control-label"> Seleccione un programa para verificar</label>
                     <div class="controls">
                        <select>
                        <option>Programa 1</option>
                        <option>Programa 2</option>
                        <option>Programa 3</option>
                        <option>Programa 4</option>
                        <option>Programa 5</option>
                        </select>
                     </div>
                </div>
                 <div class="control-group">
                     <label class="control-label"> Funcionalidad del programa selecionado</label>
                     <div class="controls">
                         <textarea disabled>La funcionalidad de este programa es lade  hacer que todo funcione                   
                        </textarea>
                     </div>
                </div>
                <div class="control-group">
                    <label class="control-label">Programa seleccionado: </label>
                    <div class="controls">
                        <textarea rows="9" cols="200" id="sourceCodeInCreateProgram">
                        
                        </textarea>
                    </div>
                </div>
                <div class="control-group">
                    <label class="control-label"> Seleccion el estado de requisito: </label>
                     <div class="controls">
                         <input type="radio" name="Requeriment" value="other">Requisito cumplido</br>
                         <input type="radio" name="Requeriment" value="self" >Requisito no cumplido</br>
                     </div>
                </div>
                
                <div class="control-group text-right">
                    <input class="btn btn-success" type="submit" name="enviar" id="enviar" value="Verificar Programa">
                </div>                
            </form>
        </div>    
    </div>
</div>